| NPI | 1154750834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VINCENT MORANO President 917-620-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY N006272-1) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-17 |